Individual provider · NPI-1

Stacyann Andaya, NP

Nurse Practitioner, Family · Walnut Creek, CA

NPI number1649893660

StatusActive

Last updated in NPPESSep 29, 2021

Details

NPI: 1649893660
Entity type: Individual (NPI-1)
Name: Stacyann Andaya
Credential: NP
Sex: Female
Sole proprietor: No
Enumeration date: May 26, 2020
Certification date: Sep 29, 2021
Last updated: Sep 29, 2021

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
363LF0000X	Nurse Practitioner, Family	95014595	CA	Yes

Practice location

2637 Shadelands Dr
Walnut Creek, CA 94598-2512

Phone 925-932-6330 · Fax 925-932-0139

Mailing address

2637 Shadelands Dr
Walnut Creek, CA 94598-2512

Phone 925-932-6330 · Fax 925-932-0139

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